NPIMap

Organization Active NPI

Family Mental Health Services LLC Independent Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Union, NJ
National Provider Identifier
1942919477
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY MENTAL HEALTH SERVICES LLC INDEPENDENT CLINIC
Practice address
540 North Ave Ste 4
Union, NJ 07083-7149
Phone
(908) 588-2445
Fax
(908) 558-0170
NPI assigned
Nov 23, 2022
Organization subpart
Yes
Parent organization
FAMILY MENTAL HEALTH SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Judith Okewole
Title
Director
Phone
(908) 588-2445

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

540 North Ave Ste 4
Union, NJ 07083-7149

Mailing address

540 North Ave Ste 4
Union, NJ 07083-7149
Phone (908) 588-2445

Other identifiers 1

IdentifierTypeStateIssuer
0866113MedicaidNJ

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Verizon
Other URL Kareo

National Provider Directory

National Provider Directory

Locations

540 North Ave
Ste 4
Union, NJ 07083
Phone (908) 588-2445

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669161600000",
    "number": "1942919477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 NORTH AVE STE 4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837149",
            "telephone_number": "908-588-2445",
            "fax_number": "908-558-0170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 NORTH AVE STE 4",
            "city": "UNION",
            "state": "NJ",
            "postal_code": "070837149",
            "telephone_number": "908-588-2445",
            "fax_number": "908-558-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MENTAL HEALTH SERVICES LLC INDEPENDENT CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY MENTAL HEALTH SERVICES LLC",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-23",
        "status": "A",
        "authorized_official_last_name": "OKEWOLE",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "908-588-2445"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0866113",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Verizon",
            "affiliation": "N",
            "address_1": "540 North Ave Ste 4",
            "city": "Union",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070837149",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Kareo",
            "affiliation": "N",
            "address_1": "540 North Ave Ste 4",
            "city": "Union",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "070837149",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Union, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.